Estrada, Rodegelio C

Estrada, Rodegelio C is an sole proprietor health care provider with primary practice located at 83 South St Ste 4, Ware MA 01082-1660. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Estrada, Rodegelio C can be contacted via phone (413) 967-5588.

Contact Information

Primary practice address
83 South St Ste 4 Ware MA 01082-1660
Phone: (413) 967-5588
Fax: (413) 967-3166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 44191 Massachusetts

Profile Details

NPI number 1972590487
LBN Legal business name Estrada, Rodegelio C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2005
Last updated Jun 30th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972590487 NPPES
Massachusetts MEDICAID 0101079
Massachusetts Other B05040

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